Individual
JASON EDWARD THERRIEN
Active
Individual
JASON EDWARD THERRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
28026
FL
2251G0304X
Geriatric Physical Therapist
Primary
9009
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q01851A
—
TN
05
—
Q025007
—
TN
Enumeration date
10/29/2014
Last updated
08/25/2022
Update your record
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